HEMOSTASIS OF INJURY OF HEPATIC HEMANGIOMA THROUGH ITS PLASTIC BY MUSCLES OF ABDOMEN WITH VASCULAR PEDICLE

Long-term (19 years) result of clinical observation of surgical treatment of destructive calculous cholecystitis in combination with cavernous hemangioma of IV liver segment, postsurgical ventral hernia (60/15 cm), and 10 week pregnant uterine fibroid is presented. At gallbladder ectomy, the surgical intervention was complicated by iatrogenic injury of hemangioma directly connected to the gallbladder wall and the following profuse bleeding. To control the bleeding, patient’s autogenous tissue, namely, muscle flap from the transverse muscle of abdomen was used. It ensured local hemostasis in the shortest time. The bleeding was stopped in 3 min. The blood loss was 150 ml. The operation on separation of the muscle flap and hemangioma stopping took 18 min. The second stage of the surgery was Mayo plastics of hernia. The long-term result of the operation has shown that the method of hemangoma stopping by a muscle flap is justified.

Keywords

Authors

References